April 5, 2013
The Honorable Fred Upton
The Honorable Henry Waxman
The Honorable Joe Pitts
The Honorable Frank Pallone
Dear Chairmen Upton and Pitts and Ranking Members Waxman and Pallone:
On behalf of the undersigned organizations representing medical, public health, scientific, agricultural, environmental, animal protection, and other organizations, we urge you to include H.R. 820, the Delivering Antimicrobial Transparency in Animals (DATA) Act, as part of the final Animal Drug User Fee Act (ADUFA). This legislation provides a reasonable, common-sense approach to better understanding antibiotic use in agriculture.
There is substantial scientific evidence supporting the claim that non-judicious use of antimicrobials in both humans and food animals leads to development of antimicrobial resistance in human pathogens. Given the increasing proportion of highly-resistant pathogens that are causing human disease today, improved antimicrobial stewardship will have a significant positive impact on human health. Unless we are able to significantly change the way we use antimicrobials in both clinical medicine and in agriculture, we risk entering a "post-antibiotic" era, where people die of common infections that previously had been treatable.
The DATA Act would provide the Food and Drug Administration (FDA) and the public with better information on the use of antimicrobial drugs in food animals. Such data will enable public health officials and scientists to better understand and interpret trends and variations in antimicrobial resistance, to improve the understanding of the relationship between animal uses of these drugs and antimicrobial resistance in animals and humans, and to identify interventions to prevent and control resistance.
FDA's current data collection efforts are insufficient to detect correlations between antibiotic use and the development of resistance.
The Animal Drug User Fee Act of 2008 (ADUFA) authorized FDA to collect and publish data from pharmaceutical companies on antibiotics sold for use in food animals, but unfortunately it stops short of requiring public reporting of critical details that would be needed to effectively interpret trends in resistance. ADUFA requires drug sponsors to report to the FDA basic information about their antimicrobial products, including 1) the amount of each antimicrobial active ingredient by container size, strength, and dosage form; 2) quantities distributed domestically and outside the United States; and 3) dosage form, including a listing of the target animals, indications, and approved production classes. Despite being collected by the FDA, data publicly reported under ADUFA have been substantially limited. The Summary Reports for 2009, 2010 and 2011 report only total antimicrobial sales volumes by drug class, aggregated to the national level, without any information on animal species in which antibiotics are used or the purpose of their use. Unfortunately, standalone summary sales data, without additional granularity, is insufficient to effectively study and understand the relationship between antibiotic use and the development of resistance and to consider appropriate interventions.
In September 2011, the Government Accountability Office (GAO) published a report titled Antibiotic Resistance: Agencies Have Made Limited Progress Addressing Antibiotic Use in Animals1, which highlighted shortcomings in the current FDA regulations on antimicrobial animal drug sales and distribution reporting. Indeed, the current lack of adequate U.S. antibiotic consumption data impedes our understanding of geographic and temporal trends in antibiotic resistance. In the agricultural context, a more complete and accurate dataset on antibiotic consumption will make information currently collected under the National Antimicrobial Resistance Monitoring System (NARMS) more effective, because it could be used to show possible correlations between antibiotic use and the development of resistance.
The DATA Act will ensure that U.S. experts have access to reliable, standardized data on the scope of antibiotic consumption in animals by species.
To effectively control the antibiotic resistance epidemic, both governmental and non-governmental animal health and infectious disease experts need ongoing access to reliable data on the scope of antibiotic consumption in animals, by species, and in a unit of measure that can be compared across species and localities. The DATA Act accomplishes this goal by requiring:
Again, we urge you to support stronger reporting requirements for agricultural antibiotic sales and distribution by amending ADUFA to include the DATA Act. This important legislation will help illustrate current use patterns, explain resistance trends, and monitor progress in assuring responsible animal antibiotic use. The American public needs assurance that these essential medicines will be effective in protecting children and families well into the future. Should you have any questions, please contact Amanda Jezek at 703-740-4790 or firstname.lastname@example.org.
Alliance for the Prudent Use of Antibiotics
American Academy of Pediatrics
American Public Health Association
Association for Politics and the Life Sciences
Food and Water Watch
Humane Society Veterinary Medical Association
Infectious Diseases Society of America
Institute for Agriculture and Trade Policy
Johns Hopkins Center for a Livable Future
Pediatric Infectious Diseases Society
School Food FOCUS National Office
Society of Infectious Diseases Pharmacists
The Humane Society of the United States
Trust for America's Health
The Pew Charitable Trusts
cc: Members of the Committee on Energy and Commerce
Rep. Louise Slaughter